Combination of Abducens Nerve Palsy and Ipsilateral Postganglionic Horner Syndrome as an Initial Manifestation of Uterine Cervical Cancer

Autor: Yutaka Tamada, Takashi Nakanoma, Hiroshi Ishikawa, Koki Tai, Naoki Ishihara, Yasuko Yorinaga, Yumi Sekine, Masahiro Yoshioka, Shouji Kutsuki, Hiromasa Tsuda
Rok vydání: 2009
Předmět:
Zdroj: Internal Medicine. 48:1457-1460
ISSN: 1349-7235
0918-2918
DOI: 10.2169/internalmedicine.48.2319
Popis: A 74-year-old woman presented with abducens nerve palsy, postganglionic Horner syndrome and sensory disturbance in the territory of the ophthalmic nerve on the left side. Cranial magnetic resonance imaging demonstrated a gadolinium-enhanced lesion within the left cavernous sinus. Thereafter, uterine cervical cancer was detected as the origin of this intra-cavernous sinus metastasis. We emphasize that the combination of abducens nerve palsy and ipsilateral postganglionic Horner syndrome may indicate a lesion located within the posterior portion of the cavernous sinus or in its vicinity. Moreover, this is the first reported case of uterine cervical cancer with intra-cavernous sinus metastasis.
Databáze: OpenAIRE